Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $5,370.32 / $7,943.28	Facility		$269.15	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $478.63	Professional		$158.49	$229.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $489.78	Professional		$389.05	$426.58	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $741.31	Professional		$173.78	$275.42	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $6,606.93	Facility		$269.15	$478.63	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $707.95	Professional		$223.87	$380.19	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $758.58	Professional		$380.19	$426.58	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $426.58	Professional		$181.97	$323.59	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $575.44	Professional		$199.53	$309.03	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $426.58	Professional		$281.84	$363.08	$426.58